RAFAEL SANCHEZ-PONCE M.D.
NPI 1669433223
Internal Medicine - Interventional Cardiology in Trinity, FL

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
2035 LITTLE RD, TRINITY, FL 34655(727) 842-9486(727) 372-1825 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Sanchez-ponce M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL SANCHEZ-PONCE M.D. (NPI 1669433223) is an individual interventional cardiology provider in Trinity, Florida, licensed in Florida (ME95800) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Morton Plant North Bay Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1986).

NPPES Registry Identity

NPI1669433223
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAFAEL SANCHEZ-PONCECredential: M.D.
Location Address2035 LITTLE RDTrinity, FL 34655-4421
Mailing Address2035 Little RdTrinity, FL 34655-4421 · (727) 842-9486 · Fax (727) 372-1825
Fax(727) 372-1825
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1986
Enumeration DateMarch 31, 2006
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
NPI 1669433223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME95800
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
2035 LITTLE RD, Trinity, FL 34655

Other Identifiers 1

Medicaid275869500FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rafael Sanchez-ponce M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698663631
PECOS Enrollment IDI20070312000444
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
304 services132 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
216 services209 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services154 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
197 services154 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
159 services117 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
101 services92 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100063
Location6600 Madison StNew Port Richey, FL 34652 · Pasco County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100191
Location9330 Sr 54Trinity, FL 34655 · Pasco County
Emergency services Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
2035 LITTLE RD
TRINITY, FL 34655
Internal Medicine (Cardiovascular Disease)
2035 LITTLE RD
TRINITY, FL 34655
Internal Medicine (Interventional Cardiology)
2035 LITTLE RD
TRINITY, FL 34655
Physician Assistant
2035 LITTLE RD
TRINITY, FL 34655
Internal Medicine (Cardiovascular Disease)
2035 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Family)
2035 LITTLE RD
TRINITY, FL 34655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Sanchez-ponce's NPI number?

The NPI number for Rafael Sanchez-ponce is 1669433223. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Rafael Sanchez-ponce located?

Rafael Sanchez-ponce practices at 2035 Little Rd, Trinity, FL 34655. The listed phone number is (727) 842-9486.

What is Rafael Sanchez-ponce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rafael Sanchez-ponce enrolled in Medicare?

Yes. Rafael Sanchez-ponce is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Sanchez-ponce accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rafael Sanchez-ponce as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafael Sanchez-ponce affiliated with any hospitals?

According to CMS data, Rafael Sanchez-ponce is affiliated with Morton Plant North Bay Hospital, Morton Plant Hospital, Hca Florida Trinity Hospital, Hca Florida Bayonet Point Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Sanchez-ponce was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.